Ashe County Public Library Meeting Room Reservation Request Form
All requests for meeting room reservations are pending until you are contacted by an ACPL librarian.

By submitting this form, I acknowledge that I have read the Appalachian Regional Library Meeting Room Policy (found at http://www.arlibrary.org/images/Meeting-Room-Policy-Rev-3-16-17.pdf) and agree to comply with all regulations.

I understand that failure to comply with such regulations may result in termination of the right to use the library meeting room facilities. I also understand that the library is not responsible for equipment, supplies, materials, or any personal possessions owned or leased by those sponsoring or attending the above meetings.

Please note that the meeting room application of meetings to which members of the public are invited will be considered part of the public record and will not be considered confidential patron records. Please also note that no meeting may be closed to the public except for meetings held by government groups or paying groups.

Name of organization *
Your answer
Room requested *
Estimated number of attendees *
Your answer
Date requested *
MM
/
DD
/
YYYY
Start time requested *
Time
:
End time requested *
Time
:
Will refreshments be served? *
Does your organization require audiovisual assistance or equipment? If so, please describe your needs in the space provided. *
Your answer
Is this meeting open to the public? *
If you answered no, please indicate if the library may give your name and telephone number to anyone inquiring about this meeting. *
Applicant's name *
Your answer
Applicant's position in organization *
Your answer
Applicant's phone number *
Your answer
Applicant's email address *
Your answer
If you have any questions for the librarian, please include them below.
Your answer
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